LEONOR CECILIA VILLALTA

CHAMPAIGN, IL
NPI1700034089
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019029681)
Additional Taxonomies122300000X Dentist
(Licence: CA  57582)
Enumeration Date2008-08-28
Last Update Date2015-02-10
Business Address
Dr. LEONOR CECILIA VILLALTA DDS
2547 W SPRINGFIELD AVE APT 2
CHAMPAIGN, IL 61821-2821
Phone number: 217-552-8503
Mailing Address
Dr. LEONOR CECILIA VILLALTA DDS
2547 W SPRINGFIELD AVE APT 2
CHAMPAIGN, IL 61821-2821
Phone number: 217-722-4565
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